Individual provider Active NPI

Roberto Sanchez-Diaz, ARNP

  • Family Nurse Practitioner
  • North Miami Beach, FL
National Provider Identifier
1780952952
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9389579 Issued in FL
Practice address
160 NW 170TH St
North Miami Beach, FL 33169-5521
Phone
(305) 651-1100
Fax
(305) 255-1534
NPI assigned
Dec 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9389579 FL Primary

Addresses

Primary practice location

160 NW 170TH St
North Miami Beach, FL 33169-5521

Mailing address

8879A Fontainebleau Blvd Apt 204
Miami, FL 33172-4411
Phone (561) 692-2171

Other practice location 1

12751 NW 99 court
Hialeah Gardens, FL 33018
Phone (561) 692-2171

Other practice location 2

8879A Fontainebleau Blvd Apt 204
Miami, FL 33172-4411
Phone (561) 692-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210122001278 FL Practitioner - Nurse Practitioner 1052725694 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9389579FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida CurrentSince Dec 1, 2020 Accepting new patients
Oak Grove Physician Services, P.a. CurrentSince Jun 26, 2024 Accepting new patients
JMH Internal Medicine Specialist LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

2423 SW 147th Ave
Miami, FL 33185
Phone (305) 317-2426

1611 NW 12th Ave
Apt C150
Miami, FL 33136
Phone (305) 585-3627

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1780952952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8879A FONTAINEBLEAU BLVD APT 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724411",
            "telephone_number": "561-692-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 170TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695521",
            "telephone_number": "305-651-1100",
            "fax_number": "305-255-1534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12751 NW 99 court",
            "address_purpose": "LOCATION",
            "city": "Hialeah Gardens",
            "state": "FL",
            "postal_code": "33018",
            "country_code": "US",
            "telephone_number": "561-692-2171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8879A Fontainebleau Blvd Apt 204",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331724411",
            "country_code": "US",
            "telephone_number": "561-692-2171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ-DIAZ",
        "first_name": "ROBERTO",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-02",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9389579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.